NPIMap

Individual provider Active NPI

Jose Perez Tamayo, M.D.

  • Diagnostic Radiology Physician
  • Murray, UT
National Provider Identifier
1093761264
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7197358-1205 Issued in UT
Practice address
5334 S Woodrow St Ste 100
Murray, UT 84107-5838
Phone
(801) 713-0600
Fax
(801) 713-0601
NPI assigned
May 26, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7197358-1205 UT Primary

Addresses

Primary practice location

5334 S Woodrow St Ste 100
Murray, UT 84107-5838

Mailing address

5334 S Woodrow St Ste 100
Murray, UT 84107-5838
Phone (801) 713-0600

Other identifiers 9

IdentifierTypeStateIssuer
107072555101OtherUTSELECTHEALTH
P00684779OtherUTRR MEDICARE
036092616MedicaidIL
P00681087OtherUTRR MEDICARE
1093761264OtherUTUNIVERSITY OF UTAH HEALTH PLANS
1003172OtherUTDESERET MUTUAL BENEFIT ADMINISTRATORS
10937612601001OtherUTBLUE CROSS AND BLUE SHIELD OF UTAH
107072555102OtherUTSELECTHEALTH
10937612600001OtherUTBLUE CROSS AND BLUE SHIELD OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000146 UT Practitioner - Diagnostic Radiology 4082716626 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Medical Physician Specialists PCGroup PAC ID 5294639407, 29 clinicians
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians

Practice addresses (Care Compare)

1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 262-8120

5323 S Woodrow St
Murray, UT 84107-5841
Phone (801) 713-0600

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic Current Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2016 Accepting new patients
Wasatch Imaging LLC CurrentSince Sep 15, 2024 Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Oct 20, 2020 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince Sep 23, 2025 Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2016 Accepting new patients
West Valley Imaging LLC Diagnostic Radiology Past Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology PastSince Feb 4, 2024 Accepting new patients
Hni Medical Services of California, PC Past Accepting new patients
Ogden Imaging LLC Diagnostic Radiology Past Accepting new patients
MMPS Murray Past Accepting new patients
Central Utah Radiology, PC Diagnostic Radiology Past Accepting new patients
Wasatch Vascular Center LLC PastSince Nov 1, 2019 Accepting new patients
Utah Imaging Centers LLC Past Accepting new patients

Locations

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346

5334 S Woodrow St
#100
Salt Lake City, UT 84107
Phone (801) 284-1702

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1093761264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075838",
            "telephone_number": "801-713-0600",
            "fax_number": "801-713-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075838",
            "telephone_number": "801-713-0600",
            "fax_number": "801-713-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ TAMAYO",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "7197358-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTHEALTH",
            "identifier": "107072555101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00684779",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092616",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00681087",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF UTAH HEALTH PLANS",
            "identifier": "1093761264",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL BENEFIT ADMINISTRATORS",
            "identifier": "1003172",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF UTAH",
            "identifier": "10937612601001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTHEALTH",
            "identifier": "107072555102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF UTAH",
            "identifier": "10937612600001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.